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Arteriosclerosis, Thrombosis, and Vascular Biology. 1999;19:546-551

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(Arteriosclerosis, Thrombosis, and Vascular Biology. 1999;19:546-551.)
© 1999 American Heart Association, Inc.


Original Contributions

PPAR{gamma} Activation in Human Endothelial Cells Increases Plasminogen Activator Inhibitor Type-1 Expression

PPAR{gamma} as a Potential Mediator in Vascular Disease

Nikolaus Marx; Todd Bourcier; Galina K. Sukhova; Peter Libby; Jorge Plutzky

From the Vascular Medicine and Atherosclerosis Unit, Cardiovascular Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass.

Correspondence to Jorge Plutzky, MD, Vascular Medicine and Atherosclerosis Unit, Cardiovascular Division, Brigham and Women's Hospital, Harvard Medical School, 221 Longwood Ave, Boston, MA 02115. E-mail JPlutzky{at}BICS.BWH.HARVARD.EDU

Abstract—Plasminogen activator inhibitor type-1 (PAI-1) is a major physiological inhibitor of fibrinolysis, with its plasma levels correlating with the risk for myocardial infarction and venous thrombosis. The regulation of PAI-1 transcription by endothelial cells (ECs), a major source of PAI-1, remains incompletely understood. Adipocytes also produce PAI-1, suggesting possible common regulatory pathways between adipocytes and ECs. Peroxisomal proliferator-activated receptor-{gamma} (PPAR){gamma} is a ligand-activated transcription factor that regulates gene expression in response to various mediators such as 15-deoxy-{Delta}12,14-prostaglandin J2 (15d-PGJ2) and oxidized linoleic acid (9- and 13-HODE). The present study tested the hypotheses that human ECs express PPAR{gamma} and that this transcriptional activator regulates PAI-1 expression in this cell type. We found that human ECs contain both PPAR{gamma} mRNA and protein. Immunohistochemistry of human carotid arteries also revealed the presence of PPAR{gamma} in ECs. Bovine ECs transfected with a PPAR response element (PPRE)–luciferase construct responded to stimulation by the PPAR{gamma} agonist 15d-PGJ2 in a concentration-dependent manner, suggesting a functional PPAR{gamma} in ECs. Treatment of human ECs with 15d-PGJ2, 9(S)-HODE, or 13(S)-HODE augmented PAI-1 mRNA and protein expression, whereas multiple PPAR{alpha} activators did not change PAI-1 levels. Introduction of increasing amounts of a PPAR{gamma} expression construct in human fibroblasts enhanced PAI-1 secretion from these cells in proportion to the amount of transfected DNA. Thus, ECs express functionally active PPAR{gamma} that regulates PAI-1 expression in ECs. Our results establish a role for PPAR{gamma} in the regulation of EC gene expression, with important implications for the clinical links between obesity and atherosclerosis.


Key Words: atherosclerosis • endothelium • peroxisomal proliferator-activated receptor • plasminogen activator inhibitor-1 • 15-deoxy-{Delta}12,14-prostaglandin J2




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Oxidized LDL Regulates Vascular Endothelial Growth Factor Expression in Human Macrophages and Endothelial Cells Through Activation of Peroxisome Proliferator-Activated Receptor-{{gamma}}
Arterioscler. Thromb. Vasc. Biol., April 1, 2001; 21(4): 560 - 566.
[Abstract] [Full Text] [PDF]


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Toxicol PatholHome page
C. S. Elangbam, R. D. Tyler, and R. M. Lightfoot
Peroxisome Proliferator-activated Receptors in Atherosclerosis and Inflammation--An Update
Toxicol Pathol, February 1, 2001; 29(2): 224 - 231.
[Abstract] [PDF]


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Diabetes CareHome page
W. A. Hsueh, S. Jackson, and R. E. Law
Control of Vascular Cell Proliferation and Migration by PPAR-{gamma}: A new approach to the macrovascular complications of diabetes
Diabetes Care, February 1, 2001; 24(2): 392 - 397.
[Abstract] [Full Text]


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ANN INTERN MEDHome page
A. A. Parulkar, M. L. Pendergrass, R. Granda-Ayala, T. R. Lee, and V. A. Fonseca
Nonhypoglycemic Effects of Thiazolidinediones
Ann Intern Med, January 2, 2001; 134(1): 61 - 71.
[Abstract] [Full Text] [PDF]


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J. Immunol.Home page
J. Padilla, K. Kaur, H. J. Cao, T. J. Smith, and R. P. Phipps
Peroxisome Proliferator Activator Receptor-{gamma} Agonists and 15-Deoxy-{Delta}12,1412,14-PGJ2 Induce Apoptosis in Normal and Malignant B-Lineage Cells
J. Immunol., December 15, 2000; 165(12): 6941 - 6948.
[Abstract] [Full Text] [PDF]


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CirculationHome page
I. Brocheriou, D. Stengel, L. Mattsson-Hulten, J. Stankova, M. Rola-Pleszczynski, F. Koskas, O. Wiklund, Y. Le Charpentier, and E. Ninio
Expression of Platelet-Activating Factor Receptor in Human Carotid Atherosclerotic Plaques : Relevance to Progression of Atherosclerosis
Circulation, November 21, 2000; 102(21): 2569 - 2575.
[Abstract] [Full Text] [PDF]


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IOVSHome page
T. Murata, S. He, M. Hangai, T. Ishibashi, X.-P. Xi, S. Kim, W. A. Hsueh, S. J. Ryan, R. E. Law, and D. R. Hinton
Peroxisome Proliferator-Activated Receptor-{gamma} Ligands Inhibit Choroidal Neovascularization
Invest. Ophthalmol. Vis. Sci., July 1, 2000; 41(8): 2309 - 2317.
[Abstract] [Full Text]


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J. Immunol.Home page
N. Marx, F. Mach, A. Sauty, J. H. Leung, M. N. Sarafi, R. M. Ransohoff, P. Libby, J. Plutzky, and A. D. Luster
Peroxisome Proliferator-Activated Receptor-{gamma} Activators Inhibit IFN-{gamma}-Induced Expression of the T Cell-Active CXC Chemokines IP-10, Mig, and I-TAC in Human Endothelial Cells
J. Immunol., June 15, 2000; 164(12): 6503 - 6508.
[Abstract] [Full Text] [PDF]


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CirculationHome page
G. Chinetti, F. G. Gbaguidi, S. Griglio, Z. Mallat, M. Antonucci, P. Poulain, J. Chapman, J.-C. Fruchart, A. Tedgui, J. Najib-Fruchart, et al.
CLA-1/SR-BI Is Expressed in Atherosclerotic Lesion Macrophages and Regulated by Activators of Peroxisome Proliferator-Activated Receptors
Circulation, May 23, 2000; 101(20): 2411 - 2417.
[Abstract] [Full Text] [PDF]


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CirculationHome page
V. Pasceri, H. D. Wu, J. T. Willerson, and E. T. H. Yeh
Modulation of Vascular Inflammation In Vitro and In Vivo by Peroxisome Proliferator-Activated Receptor-{gamma} Activators
Circulation, January 25, 2000; 101(3): 235 - 238.
[Abstract] [Full Text] [PDF]


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Endocr. Rev.Home page
B. Desvergne and W. Wahli
Peroxisome Proliferator-Activated Receptors: Nuclear Control of Metabolism
Endocr. Rev., October 1, 1999; 20(5): 649 - 688.
[Abstract] [Full Text]


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Circ. Res.Home page
P. Delerive, F. Martin-Nizard, G. Chinetti, F. Trottein, J.-C. Fruchart, J. Najib, P. Duriez, and B. Staels
Peroxisome Proliferator-Activated Receptor Activators Inhibit Thrombin-Induced Endothelin-1 Production in Human Vascular Endothelial Cells by Inhibiting the Activator Protein-1 Signaling Pathway
Circ. Res., September 3, 1999; 85(5): 394 - 402.
[Abstract] [Full Text] [PDF]


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CirculationHome page
N. Marx, G. K. Sukhova, T. Collins, P. Libby, and J. Plutzky
PPAR{alpha} Activators Inhibit Cytokine-Induced Vascular Cell Adhesion Molecule-1 Expression in Human Endothelial Cells
Circulation, June 22, 1999; 99(24): 3125 - 3131.
[Abstract] [Full Text] [PDF]


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J. Biol. Chem.Home page
P. Delerive, P. Gervois, J.-C. Fruchart, and B. Staels
Induction of Ikappa Balpha Expression as a Mechanism Contributing to the Anti-inflammatory Activities of Peroxisome Proliferator-activated Receptor-alpha Activators
J. Biol. Chem., November 17, 2000; 275(47): 36703 - 36707.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
M. Fu, X. Zhu, Q. Wang, J. Zhang, Q. Song, H. Zheng, W. Ogawa, J. Du, and Y. E. Chen
Platelet-Derived Growth Factor Promotes the Expression of Peroxisome Proliferator-Activated Receptor {gamma} in Vascular Smooth Muscle Cells by a Phosphatidylinositol 3-Kinase/Akt Signaling Pathway
Circ. Res., November 23, 2001; 89(11): 1058 - 1064.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
N. Marx, B. Kehrle, K. Kohlhammer, M. Grub, W. Koenig, V. Hombach, P. Libby, and J. Plutzky
PPAR Activators as Antiinflammatory Mediators in Human T Lymphocytes: Implications for Atherosclerosis and Transplantation-Associated Arteriosclerosis
Circ. Res., April 5, 2002; 90(6): 703 - 710.
[Abstract] [Full Text] [PDF]